<html>
<head>
<title>Order</title>
<head>

<body background="../img/bg.png">

<font size=2><a href=../main.htm>Home</a> > Order > Payment Information</font><br><br>

<table align=center>

<tr><td colspan=2>Please input your payment information<br><br></td></tr>

<tr>
<td width="70">Type:</td>
<td><select><option>Visa</option><option>Master</option></select></td>
</tr>

<tr>
<td>Number:</td>
<td><input size="20"></td>
</tr>

<tr>
<td>Expire Date:</td>
<td>
<select>
<option>01</option>
<option>02</option>
<option>03</option>
<option>04</option>
<option>05</option>
<option>06</option>
<option>07</option>
<option>08</option>
<option>09</option>
<option>10</option>
<option>11</option>
<option>12</option>
</select> / 
<select>
<option>2012</option>
<option>2013</option>
<option>2014</option>
<option>2015</option>
<option>2016</option>
<option>2017</option>
<option>2018</option>
</select>
</td>
</tr>

<tr>
<td>Name:</td>
<td><input size="20"></td>
</tr>

<tr><td colspan=2 align=right><h2><br>
  <a href="shopping6.htm">CONTINUE</a></h2></td></tr>
</table>



</body>
</html>